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. 2020 Aug 6;231(4):434–447.e2. doi: 10.1016/j.jamcollsurg.2020.06.021

Table 2.

Patient Population by TNM Stage/Primary Treatment, American Joint Committee on Cancer 8th Edition Clinical Prognostic Staging and 8th Edition Pathologic Prognostic Staging

Cancer type, AJCC 8th edition clinical prognostic stage, pathologic prognostic stage n % Pathologic upstaging
ER+ DCIS (n = 83,754)
 0
 0 75,024 89.6 Same stage
 IA 5,561 6.6 Upstage
 IB 252 0.3 Upstage
 IIA-B 162 0.4 Upstage
 IIIA-C 46 0.0 Upstage
 Unknown 2,709 3.2 Upstage
ER– DCIS (n = 15,995)
 0
 0 13,175 82.4 Same stage
 IA 922 5.8 Upstage
 IB 590 3.6 Upstage
 IIA-B 298 1.9 Upstage
 IIIA-C 81 0.5 Upstage
 Unknown 1,926 5.8 Upstage
cT1N0 NET (n = 1,395)
 IA 1,375 98.6
 0 30 2.2 Downstage
 IA 1,222 88.9 Same stage
 IB 79 5.7 Upstage
 IIA-B 33 2.4 Upstage
 IIIA-C 11 0.8 Upstage
 IB 20 1.4
 0 0 0 Downstage
 IA 8 40.0 Downstage
 IB 0 0 Same stage
 IIA-B 11 55.0 Upstage
 IIIA-C 1 5.0 Upstage
cT1N0 upfront operation (n = 209,102)
 IA 204,944 98.0
 0 587 0.3 Downstage
 IA 189,159 92.3 Same stage
 IB 10,740 5.2 Upstage
 IIA-B 2,776 1.7 Upstage
 IIIA-C 888 0.4 Upstage
 IB 4,158 2.0
 0 11 0.3 Downstage
 IA 2,917 70.2 Downstage
 IB 0 0 Same stage
 IIA-B 1,125 27.1 Upstage
 IIIA-C 106 2.5 Upstage
cT2N0 NET (n = 1,649)
 IB 1,288 78.1
 0 11 0.9 Downstage
 IA 1,019 79.1 Downstage
 IB 229 17.8 Same stage
 IIA-B 0 0 Upstage
 IIIA-C 29 2.3 Upstage
 IIA 332 20.1
 0 2 0.6 Downstage
 IA 88 26.5 Downstage
 IB 116 34.9 Downstage
 IIA 79 23.8 Same stage
 IIB 30 9.0 Upstage
 IIIA-C 17 5.1 Upstage
 IIB 29 1.8
 0 0 0 Downstage
 IA 8 27.6 Downstage
 IB 0 0 Downstage
 IIA 11 37.9 Downstage
 IIB 7 24.1 Same stage
 IIIA-C 3 10.3 Upstage
cT2N0 upfront operation (n = 51,208)
 IB 33,648 65.7
 0 39 0.1 Downstage
 IA 24,929 74.1 Downstage
 IB 8,061 24.0 Same stage
 IIA-B 0 0 Upstage
 IIIA-C 619 1.8 Upstage
 IIA 14,831 29.0
 0 6 0.0 Downstage
 IA 1,997 13.5 Downstage
 IB 6,454 43.5 Downstage
 IIA 4,396 29.6 Same stage
 IIB 1,412 9.5 Upstage
 IIIA-C 566 3.9 Upstage
 IIB 2,729 5.3
 0 4 0.1 Downstage
 IA 285 1.0 Downstage
 IB 0 0 Downstage
 IIA 1,746 64.0 Downstage
 IIB 520 19.1 Same stage
 IIIA-C 174 6.4 Upstage

AJCC, American Joint Committee on Cancer; DCIS, ductal carcinoma in situ; ER, estrogen receptor; NET, neoadjuvant endocrine therapy.